Non-surgical treatment for hematocele in the bladder associated with ascites puncture in a patient with ovarian hyperstimulation syndrome: a case report

ABSTRACT

Ovarian hyperstimulation syndrome (OHSS) is a well-known complication induced by the application of LH or GnRH analogs in the process of assisted reproduction controlled ovarian stimulation (COS). Ascites puncture is one of the treatments for severe OHSS. In the vast majority of circumstances, transvaginal (TV) ascites puncture under B ultrasound guidance is safe; however, bladder injury is a rare complication that may occur during the puncture process. We presented the case of a 28-year-old woman who presented with hematuria and dysuria following TV puncture for ascites aspiration for OHSS. Ultrasonographic examination revealed a 8.33 × 4.88 cm hematocele in the bladder; it was thought to have been caused by blood clot formation and concurrent urinary retention resulting from the puncture needle-induced bladder injury during TV puncture for ascites aspiration. The patient recovered with conservative treatment. Therefore, it is important to emphasize that avoidance of OHSS is necessary to avoid complications such as bladder damage from treatment of ascites.

KEYWORDS:

• Bladder hematocele
• ascites puncture
• in vitro fertilization
• OHSS

Ethics

Ethical approval was provided by the medical ethics committee of Chengdu Women’s and Children’s Central Hospital. We would like to express our deep appreciation for the support offered by the ultrasonography department. The patient involved in this case report has been anonymized, and she acknowledges that she cannot be identified via the paper.

Declaration of financial/other relationships

The contents of the paper and the opinions expressed within are those of the authors, and it was the decision of the authors to submit the manuscript for publication.

A reviewer on this manuscript has disclosed that they provide consultancy work for Myovant Sciences. The other peer reviewers on this manuscript have no other relevant financial relationships or otherwise to disclose.

Declaration of interest

No potential conflict of interest was reported by the authors.

Additional information

Funding

This manuscript was not externally funded.